Sally: Hi, I’m thinking of using a birth control method, what do you suggest?
Doctor: Well Sally, there are a range of different family planning methods available, and considering your age of 22 I’m assuming you would not want to choose a permanent method?
Sally: Yes. I am hoping to one day have children, just not right now.
Doctor: do you have any specific preferences?
Sally: I don’t want it to have any side effects, I would like it to last a few years at least and I don’t want it to have any long term effects on my body.
Doctor: Have you heard of IUD?
Sally: No I haven’t, what is it?
Doctor: It stands for the intrauterine device, It is a small t-shaped device covered in copper that is inserted into the uterus. Copper is toxic to sperm, causing all sperm to die when it enters the uterus. It lasts five years but can be taken out whenever you wish and you are instantly fertile. When using the copper IUD, you will still get your period but it will probably be heavier and more painful. There is also a hormonal device which is easier to insert and it makes your period lighter and less painful, sometimes your period can be stopped all together. This IUD releases levonorgestrel into the cervix making the mucus in the cervix thicker so sperm cannot get into the uterus. It can also sometimes stop eggs from being released from the ovaries and it also changes the lining of the uterus which makes it unsuitable for a pregnancy.
Sally: Are there any risks to using either of the devices?
Doctor: There is a small risk of getting a pelvic infection. Only about one in 500 women contract it after the insertion of the hormonal or copper IUD which can result in decreased fertility.
Sally: I'm willing to take those risks. When can I make an appointment.
Doctor: I'll book you in on Friday.